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2 OTC MOCK EXAM 2016 In 2016 OTC is able to offer a two- day MOCK EXAM for all candidates who are willing to test their skills and abilities before sitting ADC practical examination. The offer is open to all past OTC participants as well as those who have not attended any of our programs. Priority will be given to applicants who have ADC examination date and venue confirmed for the nearest exam (July 2016) and all other candidates will be accepted only if places are available. ADC Exam confirmation letter/portal advices print out will be required at the time of application. Over two days the candidates will be tested on all tasks normally tested during ADC examination. Marking will be done by two or more ADC experienced assessors/demonstrators after each day in the presence or absence of the candidate. The detailed written feedback on each task will be given at the conclusion of the examination to each of the candidates. Dates: Wednesday, 22 nd June and Thursday 23 rd June pm (including orientation and breaks) Marking: Wednesday and Thursday pm (after hours) Venue: Second floor Teaching Clinic, Grey Quadrant The Royal Dental Hospital of Melbourne 720 Swanston Street, Carlton, Vic This venue has been one of the chosen ADC examination venues for many years. The mock exam will be conducted in the clinical environment resembling any other ADC venue. The candidates will be working on manikins mounted in the dental chairs and have access to all relevant instruments, equipment and materials. Infection control protocols must be followed as per dental clinic environment. What is provided: All candidates will have a full set of appropriate teeth mounted in the model. Personal protective equipment (gowns, masks and gloves) will be provided. Candidate must bring own safety glasses and, if required, magnification loupes. All candidates will be required to bring their own sets of burs for tooth preparation and restoration finishing/polishing. Although amalgam capsules (SDI Permite), composite resin (Tetric, Gradia), temporary crown material (Protemp Garant), impression material (Optosil), rubber dam (IsoDam) and radiographic films will be provided, candidate are permitted to bring own materials if they wish. Own hand pieces, hand instruments, matrices, rubber dam kits, radiographic holders are not permitted. Fees: Ex OTC candidates (previously enrolled to any practical or theory course excluding Radiography session) - $ incl. GST New candidate, previously not enrolled to OTC course: $1, incl. GST 1

3 How to enroll to OTC MOCK EXAM: The OTC MOCK EXAM will take place provided there are enough candidates enrolled. Priority will be given to the candidates sitting ADC examination in July Application closing date is 1 st June Fill attached application form and provide relevant documentation including payment details. The candidates previously enrolled to OTC course in 2015 do not need to attach documentation other than practical ADC examination confirmation. A $300 non -refundable deposit will be charged at the time of application. If the number of applicants is too low, the deposit will not be charged. We will acknowledge your application. The final confirmation of details will be ed to you in the first week of June. Further Information: All questions should be directed to OTC Office You can also contact Merala Lesevic, DA and Administrative Support on or Ms Julie McCormack, Education and Training Unit Manager on NOTE: This package contains OTC universal Application form to attend other sessions apart from OTC MOCK EXAM. If you want to apply for Radiography or Additional Practical sessions you MUST contact OTC Office first to check your eligibility criteria and availability of these sessions. If you want to apply only for MOCK EXAM- please send the application ASAP. 2

4 SECTION 1 APPLICATION 1. Places on any of our courses will not be considered/ reserved until a complete application form, including full payment and required attachments, is received by the office. We do not accept scanned/ faxed applications. 2. Applications for any course will not be accepted without a current Australian Dental Council number. 3. Additional Experience - No refund of fees will apply if applicant withdraws at any time after confirmation of the session(s) 4. Payment of Fees: Fees for Additional Experience sessions will be required in full upon acceptance into applicable program. Details will be sent at time of acceptance. If you intend to make payment via internet or a direct bank transfer, it is preferable to advise OTC (via ) prior to undertaking the transfer so that an Invoice Number can be provided -this will enable us to allocate the transaction to the appropriate candidate. You MUST advise the OTC office (by ) once transfer is undertaken. should include date of transfer and receipt number, so that this can be forwarded to our finance department. Return application to: Postal Address: Melbourne Orientation Training Courses (OTC), The Royal Dental Hospital of Melbourne GPO Box 1273L Melbourne 3001 Street Address: (preferred) Melbourne Orientation Training Courses (OTC), The Royal Dental Hospital of Melbourne 2 nd Floor, 720 Swanston Street, Carlton 3053 (Note: The Royal Dental Hospital of Melbourne is opposite Melbourne University and close to the corner of Swanston and Grattan Streets, Carlton approximately 10 minutes from the city center by public transport) RETURN ONLY THE RELEVANT APPLICATION PAGES ENSURE YOUR APPLICATION IS COMPLETE, INCLUDING DEPOSIT & PHOTOGRAPHS TO SAVE ON PAPER, ONLY PRINT OUT PAGES TO BE RETURNED TO OTC. 3

5 APPLICATION FORM 2016 ADDITIONAL EXPERIENCE SESSIONS Attach THREE Passport size photos (approx 3.5cm x 3.5 cm) (use paperclip) SECTION 2 Personal details & educational background NAME: Mr. / Mrs. / Ms..... GENDER: M /F (Family name) (Given names) ADDRESS: TEL NO: ( )... MOBILE NO: FAX NO: ( ).... DATE OF BIRTH... AUSTRALIAN DENTAL COUNCIL REF NO:.../... AUSTRALIAN RESIDENCY & VISA STATUS:... DENTAL DEGREE/S: Please note the University/Country and level of Qualification/Year of completion..... OET/IELTS RESULT: Date Passed. WRITTEN EXAMINATION RESULT: Date passed: Date /venue of ADC practical examination: Is it your first attempt? Yes / No (circle) SECTION 3 General Information How did you become aware of the OTC courses? (1) You are past OTC student (2) Referred by an OTC student (3) Referred by outside organisation, eg. ADC (4) Other Source, please list details below ATTACHMENTS (Please tick attachments) 1. Letter from the ADC noting your eligibility to proceed with the ADC examination process 2. Copy of letter giving date/series/venue of when you are sitting the ADC Final Examination - if you have already been allocated an examination venue or examination series. 3. Copy of your Written Exam Results 4. A certified copy of your Dental Degree 5. Copy of your OET/IELTS Result 6. Copy of the page in your passport showing your eligibility to remain in Australia. 7. Full payment as either a cheque/money order OR complete section in Part 2, Payment Form please circle method of payment. Applications without this will be considered INCOMPLETE 8. THREE3 Passport size photos, with your surname printed on the back Attach to top of application form with paperclip (eg 3.5 cm x 3.5 cm photos). Do not staple to form. 4

7 ORIENTATION TRAINING COURSE ACCEPTANCE OF OFFER PART 1 I... (print name) accept the offer of entry to the Melbourne Orientation Training Course conducted by Dental Health Services Victoria (The Royal Dental Hospital of Melbourne). The course entered is part of the following Additional Experience Program: (please tick box) PRECLINICAL RADIOGRAPHY WITH DEMONSTRATOR RADIOGRAPHY PRACTICE WITHOUT DEMONSTRATOR (only past OTC candidates may attend) ADDITIONAL EXPERIENCE SESSIONS ( practical) On : MOCK EXAM June 2016 OTHER I understand that the following clauses will apply: (please tick boxes) The fee will only be refunded if the course the applicant has applied for is cancelled and/or no place is available on the course applied for. The fee will become a cancellation fee if the applicant withdraws from any course following notification of acceptance of an available place. If I choose not to attend the course as timetabled, there will be no refund of fees once the course has commenced. A claim for a refund of the course fees will not be considered after the course commenced. The course, or any part of the course as timetabled may be changed or cancelled at the discretion of DHSV. DHSV will not be liable for any costs incurred by the candidates including flight bookings, accommodation etc (Signature of candidate) Melbourne Orientation Training Course for Overseas Dental Graduates Date: Date: 6

8 ORIENTATION TRAINING COURSE ACCEPTANCE OF OFFER PART 2 DHSV INVOICE NO (OTC Office will complete this) Personal Details: ADDITIONAL EXPERIENCE SESSIONS Surname: Mr/Mrs/Ms/Miss Given Names: Gender: M / F Address: Post Code: Home phone: Mobile: Fax No: a. Date of Birth: Payment Details: $ per 3 hour session without demonstrator $ per 3-hour session with the demonstrator Other fees as discussed (enter amount payable) Mock exam $ or $1, TOTAL AMOUNT DUE :$ Credit card payments will be processed before commencement of each course. Payments by cheque are to be made out to The Royal Dental Hospital of Melbourne. Payment in full for this course must be received by The OTC, The Royal Dental Hospital of Melbourne, 720 Swanston St, Carlton VIC 3053, by the due payment date. Payment can be made by: (please circle method you are using) VISA / MASTERCARD CHEQUE / MONEY ORDER (please attach) CASH (in person) INTERNET BANKING CARD NO: CARDHOLDERS NAME: Expiry Date: / CARDHOLDER S SIGNATURE: PLEASE NOTE: If you wish to pay by internet banking or make the payment at your local bank, contact OTC office and banking details will be provided. Once transfer is undertaken, you MUST advise the OTC office (preferably via ) as we have no way of allocating fees transferred unless notification is received, this should include date of transfer and receipt number). If your fees are being paid by someone other than yourself, ie. husband/wife/friend, refer to information attached - Authorization to Pay on Behalf of Candidate. 7

9 INFORMATION REGARDING PAYMENT OPTIONS 1. No cash payments will be accepted. 2. Payment may be made direct into the DHSV/RDHM Operating Account, i.e. internet banking or cash payment made at your local bank. Contact the OTC office and DHSV/RDHM banking details will be provided. Once the payment is made, the OTC Office must be notified of the date the transaction was undertaken and your receipt number, so that our Finance Department is able to credit the transaction against your invoice. 3. If someone other than yourself is paying for the course on your behalf, they must complete the authorization form below and return with your paperwork this form must be completed each time a payment is made. 4. Note that American Express transactions cannot be processed. 5. If you are living overseas, it is preferable that you send a cheque or make a direct payment to the Hospital, ie. internet banking. The cheque is to be payable to The Royal Dental Hospital of Melbourne and the money must be in Australian Dollars. Note that when making transfers from overseas, bank transfer fees may be charged, it is usually in the range of A$25.00 (Australian). If this occurs and a balance is outstanding, this must be paid in cash on the first day of your course. 6. No payment will be processed for those on a waiting list. IF PAYMENT IS BEING MADE BY SOMEONE OTHER THAN THE CANDIDATE, COMPLETE THE FORM BELOW. AUTHORISATION TO PAY ON BEHALF OF CANDIDATE (a) I agree to pay the sum of (name of person paying fees) $... on behalf of (name of candidate) If you require payment to be made on an alternate date, or not before a certain date, please specify: (b) I authorize Dental Health Services Victoria, The Royal Dental Hospital of Melbourne to debit my credit card on their behalf of the above candidate - details as listed on Part 2 Acceptance Form. CARDHOLDERS NAME:. (please print) CARDHOLDER S SIGNATURE:. Cardholder s Home Address:. Cardholder s phone number and address... Signature. Date:. (c) This form must be completed each time a transaction is undertaken if two card holders are paying, ie. one for the deposit and one for the course fee. (two forms to be completed) Please ensure that the credit card details are entered on the Part 2 Form, including the Expiry Date and that the person whose credit card is being used, signs the Part 2 Form in the appropriate place. 8

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